Provider Demographics
NPI:1225269228
Name:PASCARELLI, ANDREA CHRISTINE (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:CHRISTINE
Last Name:PASCARELLI
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2101 E YESLER WAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5959
Mailing Address - Country:US
Mailing Address - Phone:206-987-7267
Mailing Address - Fax:206-987-7275
Practice Address - Street 1:2101 E YESLER WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5959
Practice Address - Country:US
Practice Address - Phone:206-987-7267
Practice Address - Fax:206-987-7275
Is Sole Proprietor?:No
Enumeration Date:2009-08-07
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA00003799103TC0700X
NY018047-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical